“Inbetweenisode 10: Health Insurance is not Healthcare. Healthcare is not Health.”
by Stacey Richter

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Stacey Richter

Stacey is co-president of Aventria Health Group, a marketing agency specializing in helping pharmaceutical, device and pharmacy clients gain access to patients by creating and leveraging partnerships with other health care organizations. For twenty years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders, and most of all, the patient.


00:00 David Goldhill “Catastrophic Care: How American Health Care Killed My Father–and How We Can Fix It”
01:00 Health Insurance by its very nature in our Healthcare Industry.
02:30 The average American contributes $1.2 million dollars in premiums and contributions.
03:15 Managing Non-Catastrophic claims.
03:30 “Health Insurance isn’t really Health Insurance if it pays for anticipated expenses.”
04:40 “We’re paying someone 20% to pay someone on our behalf.”
05:20 Connecting the dots between Healthcare Services and Insurance Premiums.
06:15 The notion that there’s no direct line between Healthcare Cost and Insurance Premiums.
06:30 “Who’s paying for this cost?”
07:20 “There is nobody else – right now, we’re paying for our healthcare costs.”
09:15 “Insurance Companies have a rational financial interest in seeing Healthcare Costs go up.”
10:20 “Healthcare is a form of consumption.”
11:00 Medicare and Medicaid Cost Control.
11:40 Driving vs. Documenting Care.
12:15 Diagnostic Related Group (DRG), Prospective Payment System (PPS), and Fee For Service (FFS).
14:00 700% cost increase for a Hospital Stay since DRGs in 1983.
15:10 “Patients are actually the only ones who have a vested interest in actually keeping costs low.”
16:00 Consumers and Patients as being equipped to judge quality of Effective Care.
18:30 “Who is better?”
19:00 Affordable Healthcare Act as a Health Insurance Bill.
19:20 Health Insurance is not a synonym for Healthcare.

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